Organization
FUNCTIONAL ATHLETICS LLC
Active
Other names
Egoscue of San Diego
Organization subpart
No
Provider details
NPI number
Authorized official
TIM GEORGE (OWNER/CLINIC DIRECTOR)
(619) 294-3259
Entity
Organization
Contact information
Practice address
409 CAMINO DEL RIO S STE 203, SAN DIEGO, CA 92108-3506
(619) 294-3259
Mailing address
409 CAMINO DEL RIO S STE 203, SAN DIEGO, CA 92108-3506
(619) 294-3259
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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